EVALUATION FORM

Enter your details

Please complete the sections relevant to your type of business in the form below and
click on submit.

1. How long has the business been in operation?

0 to 1 years
1 to 2 years
2 to 3 years
3 to 4 years
more than 4 years

2. How does the business operate?

Business Hours only
24 Hours

3. Do you have full and comprehensive professional indemnity insurance?

Yes No

If Yes, name of insurer

and policy number

4. Have you been approved by an Insurance Company?

Yes
No

5. Have you been approved by a Manufacturer?

Yes
No

6. Do you belong to a Trade Association?

Yes
No

7. Are you VAT registered?

Yes
No

8. Please indicate if any of the following the manufacturers and insurance companies have officially approved you as a contractor or service provider, and if you belong to any trade association. (if so, you will need to provide us with the name and telephone number of the person in that organization who can verify the approval)
(all applicants)

DEFY

Yes No

AEG

Yes No

KELVINATOR

Yes No

OCEAN

Yes No

Santam

Yes No

Auto & General

Yes No

Mutual & Federal

Yes No

SA Eagle

Yes No

Outsurance

Yes No

Hollard

Yes No

IOPSA

Yes No

ECASA

Yes No

MBA

Yes No

Others (Please specify)

For each organisation that you selected "Yes" for above, please provide
the organisation name, contact person's name and telephone number.

eg. DEFY, John Smith, 076-123-4567
AEG, Nigel Green, 082-123-4567

9. Please indicate number of each type available and/or employed:

eg. 1

LDVs
Artisans (Trade test certified)
Labourers

10. Are all Vehicles/Drivers equipped with Radio Communication/Cell Phones?

Radios Cell Phones

11. Are any of the vehicles currently in use older than 5 years?

Yes No

12. Do all the above vehicles possess a full service history?

Yes No

13. Is your company BEE?

Yes No

14. Are you willing to invoice our corporate clients directly ?(Payments are processed on a 30 day basis)

Yes No

15. Do you stock emergency materials?

Yes No

16. Do you make use of sub-contractors?

Yes No

16. RESPONSE TIMES:

Within a radius of 20 km

0-30 min 30-60 min 1-2 hrs over 2 hrs

17. Which areas (towns and suburbs) are you prepared to service? (all applicants)

18. Please list any areas (such as townships) that you are specifically NOT prepared to service: (all applicants)